| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
157 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
230 |
$12K |
| 92015 |
Determination of refractive state |
669 |
622 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
286 |
246 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$789.50 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
105 |
80 |
$650.71 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
24 |
24 |
$508.60 |
| 1036F |
|
80 |
55 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
45 |
39 |
$0.00 |